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Registration for I Do Love Math Middle School Camp - Summer 2018
Camp Dates: June 11-15
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Parent/Guardian Name
*
Last Name, First Name
Your answer
Camper's Name
*
Last Name, First Name & Nickname
Your answer
Address 2
Your answer
Address 1
*
Your answer
Primary Email
*
Your answer
State
*
Your answer
City
*
Your answer
ZIP
*
Your answer
Cell Phone
*
Your answer
Work Phone
Your answer
Camper's Birth Date
Your answer
Grade
Your answer
T-Shirt Size
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Child Small
Child Medium
Child Large
Adult Medium
Adult Large
Adult XL
Does your child have a sibling attending IDLMC?
*
Yes
No
If yes, how many?
For before and after care, 1st child pays in full; siblings receive $25 off per session. Please fill out a separate application for each child.
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1
2
3
4
5
You are responsible for providing your child with a healthy snack and lunch daily. Does your child have any allergies that the IDLMC Staff should be aware of?
*
Yes
No
If yes, what is he/she allergic to?
Your answer
How did you hear about IDLMC?
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